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New Smile
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dental sealant Gingivectomy and Crown Lengthening
Special Offer
Gingivectomy
  • Removal of Soft Gum Tissue Only
  • Fast - About 15 Minutes per Tooth
  • Fast Recovery (usually 3 to 10 days)
  • Only 500* baht per tooth
Correct your Gummy Smile with Advanced Techniques
  • Remove/Reposition Gums and Reshape Tooth/Bone
  • Using Electrosurgical Technique
  • Only 2,000* baht per tooth
*This is one of our most popular services.
The initial visit fee is 200 baht which includes an Oral Examination, Treatment plan and Consultation.

Gingivectomy

For people who have a "gummy smile" which makes their teeth look too short and only soft tissue needs to be removed, this is termed a gingivectomy (from gingiva which means soft tissue or gum tissue of the mouth) procedure, not a crown lengthening procedure. It is also necessary if the gum tissue has poor position or contour or for improving the cosmetic appearance of the teeth. It may also be required in order to make a successful impression for a cast restoration. The soft gingival tissues will be modified, repositioned, or reshaped so that an impression can be made or a restoration can be placed. This gingivectomy may involve electrosurgery, a scalpel, or simply a rough diamond abrasion (all using anesthetic). We will select the method based on your individual circumstances. Healing time varies but for a gingivectomy usually is between 3 to 10 days.

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figure 6.1: Gingivectomy procedure and (Video) actual gingivectomy case being performed
Disclaimer: All photos, videos, testimonials and individual cases used in this website are based on actual cases but your results may be different.

Gingivectomy

Gingivectomy: Gummy Smile Correction
Disclaimer: All photos, videos, testimonials and individual cases used in this website are based on actual cases but your results may be different.

Crown Lengthening

Some people have a "gummy smile" which makes their teeth look too short. For these people, crown lengthening can help. A crown lengthening procedure is done by another dental specialist a Periodontist, a specialist in the tissue surrounding and supporting the teeth. A crown lengthening procedure is necessary when there is insufficient tooth structure remaining clinically visible or accessible for proper retention of a cast restoration (a crown or onlay) or routine restoration (filling). In either case it requires both the modification of the soft gingival tissues to reshape and reposition, as well as the removal of some underlying bone surrounding the tooth/root while recontouring the soft tissue at the same time. Many times, this crown lengthening will be minimal, and sometimes modification is extensive, involving many teeth and the supporting bone, but absolutely necessary for a successful restoration(s). At times, after the crown lengthening is completed and the tissue is healed, the tooth may exhibit temporary sensitivity to thermal changes due to increased root exposure, but with time the sensitivity usually decreases.

Electrosurgical Procedure

Electrosurgery uses high frequency electrical current to generate intense, localized heat at the surgical site, cauterizing tissue with precision and providing excellent bleeding control. Like the laser, Electrosurgery generates heat within the tissue at the surgical site and works over the entire surface of the electrode tip that is in contact with the tissue, making it ideal for the tissue sculpting demands of dental surgery.

Advantages of Crown Lengthening

Unlike many cosmetic dentistry treatments, crown lengthening only needs to be done once, with no requirement for touch-ups down the road. In addition to creating a wider, more symmetrical smile, crown lengthening can provide some dental care benefits as well. It can reduce the risk of tooth decay because more of the tooth is exposed for brushing and flossing.

Disadvantages of Crown Lengthening

As with other types of cosmetic surgery, you may experience swelling and pain afterwards. Recovery can take a few days to a few weeks, depending on how extensive the surgery is. Possible complications include excessive bleeding and infection, but these are rare.

Recovery From a Crown Lengthening Procedure

Following surgery, you'll be given a prescription for a pain reliever and instructed to use ice to reduce any swelling. You'll want to eat a diet of fairly soft foods and brush your teeth carefully in the area near the stitches.

Crown Lengthening

Before and after photos of a patient who had crown lenghthening
Disclaimer: All photos, videos, testimonials and individual cases used in this website are based on actual cases but your results may be different.
Disclaimer: All photos, videos, testimonials and individual cases used in this website are based on actual cases but your results may be different.

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